The normative and conceptual foundations of a clinical duty to protect

The continuing controversy surrounding the Tarasoff inspired duty to protect as developed by the courts and legislatures has not adequately weighed the jurisprudential foundations of such an obligation. The authors argue that the duty's misguided thrust of social control grounded in character and status seriously violates broad principles of political morality underlying the law of social control. They conceptualize an alternative--a clinical duty to protect--that coheres with these underlying values and the limits of professional abilities. They contend that any extra-clinical intervention on the part of the psychotherapist entails a role transformation requiring independent justification.     

Supervising the person of the therapist: Issues,challenges and dilemmas

A major critical issue in marriage and family therapy today is the professionalization of the discipline. Thus the focus on training individuals for a career in marriage and family therapy necessitates the revisitation of the debate over personal growth versus skill development. The trend toward training the person of the therapist, however, would suggest that the field is moving toward the integration of self awareness and skill in the therapeutic system. With the popularization of training the person of the therapist comes other issues, challenges, and dilemmas for the field, including the crucial issue of training gender and culturally sensitive therapists. The potential for creating dual relationships when training the person of the therapist is both a dilemma and a challenge.     

On the processing of arguments

This paper is concerned with the processing of informal arguments, that is, arguments involving probable truth. A model of informal argument processing is presented that is based upon Hample's (1977) expansion of Toulmin's (1958) model of argument structure. The model postulates that a claim activates an attitude, the two components forming a complex that in turn activates reasons. Furthermore, the model holds occurrence of the reason, or possibly the claim and the reason, activates values. Three experiments are described that provide support for the model.This research was supported by the Mellon Foundation and by the Office of Educational Research and Improvement of the Department of Education via an award for the Center for the Study of Learning to the Learning Research and Development Center. The contents of the paper are not necessarily the position of any of these organizations.     

Utility maximization and melioration: Internalities in individual choice

How do people go about choosing between alternatives in relatively simple settings? This study explores some of the variables that past work suggests may be relevant. Volunteer subjects worked for money in six procedures in which the probability of a payment from either of two alternatives was 1.0, but the rate of pay (i.e. the speed with which a payment was delivered or the size of the payment) interacted with the subjects recent allocation of choices, which we define as the ‘internalities’. Because of the internalities, choosing the currently more profitable alternative did not maximize total earnings. Subjects were more likely to fail to maximize when the interaction between present pay and past choices was spread over longer sequences of choices, or when the reward variable was the speed, rather than the value, of each payment. Subjects often disregarded the internalities and were instead guided by the current yields of the two alternatives, which is a frequently observed tendency, called ‘melioration’, in experiments on choices by animals. The tendency toward melioration was only partially counteracted by explicit instructions on how to maximize earnings. We discuss a theoretical framework for melioration that postulates both motivational and cognitive sources.     

The Continuum of Consciousness

Research in a wide variety of domains provides converging evidence for the psychological unconscious—percepts, memories, and other mental contents that influence experience, thought, and action outside of phenomenal awareness. Studies of preconscious processing indicate that two continua underlie conscious experience—one having to do with the quality of the stimulus event or its mental representation, and the other having to do with the cognitive resources brought to hear on the processing of that representation. However, evidence of subconscious processing violates these conclusions and suggests that something more is involved—perhaps a link between mental representations of events and of the self as the agent or experiencer of them.     

Family preservation using multisystemic treatment: Long-term follow-up to a clinical trial with serious juvenile offenders

In a randomized clinical trial, multisystemic family preservation was shown to significantly reduce rates of criminal activity and incarceration in a sample of 84 serious juvenile offenders and their multi-need families. In the current study, archival records were searched for re-arrest an average of 2.4 years post-referral. Survival analysis showed that youths who received multisystemic family preservation were less likely to be re-arrested than were youths who had received usual services. Such results represent the first controlled demonstration that family preservation, when delivered via a clearly specified treatment model, has lasting effects with serious juvenile offenders. Implications for family preservation and juvenile justice research are discussed.     

Praxis makes perfect: Illness as a bridge between biological concepts of disease and social conceptions of health

Analyses of biological concepts of disease and social conceptions of health indicate that they are structurally interdependent. This in turn suggests the need for a bridge theory of illness. The main features of such a theory are an emphasis on the logical properties of value terms, close attention to the features of the experience of illness, and an analysis of this experience as action failure, drawing directly on the internal structure of action. The practical applications of this theory are outlined for a number of problems in each of the three main practical areas, clinical work, teaching and research. In each case the resources of the theory suggest new models and generate new results. The full practical significance of the theory, however, is shown to consist in the way in which it ties together biological and social theories into an integrated picture of the conceptual structure of medicine as a whole. It is argued, finally, that practical efficiency of this kind is a test of theory not only in the philosophy of medicine but also in general philosophy.     

Limits of focused attention in three-dimensional space

The present experiment examined the shape of the attentional gradient in three-dimensional space. Subjects performed a response-compatibility task in which they were instructed to respond to a centrally located target and ignore flanking distractors. The irrelevant distractors were presented at combinations of seven different depths, three different horizontal separations, and three different vertical separations relative to the target. Depth was varied in a stereoscopic display viewed through polarized glasses. Overall, the size of the response-compatibility effect decreased with increased separation in all three dimensions. Interestingly, the response-compatibility effect was larger for horizontal separations than for vertical separations and was larger for crossed disparities than for uncrossed disparities. The results suggest an elliptical focus of attention, with steeper gradients in the vertical dimensions than in the horizontal dimensions. In addition, the results suggest, along the vertical dimension, a steeper gradient for objects located beyond the focus of attention relative to that for objects located between the observer and the focus of attention.     

Perceptual organization of auditory temporal patterns in European starlings (Sturnus vulgaris)

The perception of continuously repeating auditory patterns by European starlings was explored in seven experiments. In Experiment 1, 4 starlings learned to discriminate between two continuously repeating, eight-element, auditory patterns. Each eight-element pattern was constructed from different temporal organizations of two elements differing in timbre. In Experiments 2–7, the repeating patterns were transformed in ways designed to identify the starlings’ perceptual organization of the patterns. In Experiment 2, the starlings identified patterns beginning with novel starting points. In Experiment 3, discrimination performance was adversely affected by reorganizing the elements in the patterns. In Experiments 4 and 5, the pattern elements were altered. In Experiment 4, the patterns were constructed from two novel elements. In Experiment 5, the temporal location of the two pattern elements was reversed. The transformations of the patterns in Experiments 4 and 5 affected discrimination performance for some, but not all, of the starlings. In Experiments 6 and 7, replacing either of the two elements with silent intervals had no effect on discrimination performance. The results of these experiments identify basic grouping principles that starlings use when they perceive auditory patterns.     

Disordered Communication and Grieving in Deaf Member Families

When a deaf child is born to hearing parents, a grieving process is initiated in the parents. Unresolved grieving over their child's deafness often makes it difficult for hearing parents to accept the importance of signing, thus increasing the child's problems — further source of grief for these parents. Clinical illustrations are provided of (1) the reciprocal relationship between disruption of the mourning process and disturbance of communication between family members, and (2) the transmission of the dysfunctional relationship between hearing parents and deaf children to the subsequent relationship between the deaf children, when they reach adulthood, and their hearing children.